Pamela Silen-Rivera
Physician · OB-GYN
11–15 years of experience
Menopause Society Certified Practitioner
About Centro de Bienestar para la Mujer
Dr. Silén Rivera is an OB-GYN who founded and runs Centro de Bienestar para la Mujer, a small private women's health practice in Guaynabo. She offers a dedicated menopause and perimenopause visit built around hormone replacement, and her site says she recommends FDA-approved hormone therapy. Her other main interest is sexual medicine, with its own visit for problems like low desire and pain with sex. The office also treats urinary leakage in-house, including weekly nerve stimulation sessions for overactive bladder and urethral bulking for stress leaks. She has taught at the University of Puerto Rico School of Medicine since 2017, and the website is in Spanish.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
Particular focus
- Bladder & UTIs
Cost and insurance
Insurance
Doesn’t accept insurance
Ask whether they provide receipts for out-of-network reimbursement.
Self-pay
- Menopause and perimenopause consult (hormone replacement)
- $100
Her Plaza Real office is private pay. She takes health plans only when she sees patients at the UPR gynecology clinic or Hospital San Pablo.
Verified September 2026.
Qualifications
MD, FACOG, MSCP
